Type 2 diabetes mellitus with hyperglycemia
ICD-10 E11.65 is a billable code used to indicate a diagnosis of type 2 diabetes mellitus with hyperglycemia.
Type 2 diabetes mellitus with hyperglycemia is a chronic metabolic disorder characterized by insulin resistance and relative insulin deficiency. Patients with this condition often present with elevated blood glucose levels, which can lead to various acute and chronic complications. Hyperglycemia in type 2 diabetes can result from inadequate glycemic control, often indicated by elevated HbA1c levels, typically above 7% in many clinical guidelines. Management of hyperglycemia may involve lifestyle modifications, oral hypoglycemic agents, and insulin therapy. Complications associated with uncontrolled hyperglycemia include cardiovascular disease, neuropathy, nephropathy, and retinopathy. Regular monitoring of blood glucose levels and HbA1c is crucial for assessing the effectiveness of treatment and preventing complications. The condition requires a multidisciplinary approach for optimal management, including dietary counseling, physical activity, and medication adherence.
Detailed records of blood glucose levels, HbA1c results, and treatment plans.
Patients presenting with uncontrolled diabetes, requiring insulin therapy adjustments.
Endocrinologists must document the rationale for medication changes and any complications.
Comprehensive patient history, including lifestyle factors and medication adherence.
Routine follow-ups for diabetes management and monitoring of comorbid conditions.
Primary care providers should ensure regular updates on patient progress and any referrals to specialists.
Used for routine follow-up visits for diabetes management.
Document the patient's history, examination findings, and treatment plan.
Endocrinologists may require more detailed documentation compared to primary care.
HbA1c levels are crucial for determining the severity of hyperglycemia and guiding treatment decisions. Accurate documentation of these levels is essential for proper coding and management of the condition.
